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4) N262 EXAM 2 PT. 1 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++

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4) N262 EXAM 2 PT. 1 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ Kidneys Regulate fluid & acid/base balance - filter blood and remove metabolic wastes Increases then Decreases As body ages, urine output ____________________ Infants Urinary Developmental Factors - may urinate as often as 20 times/day - do not have urinary control Preschoolers Urinary Developmental Factors - able to toilet independently - do not punish for accidents School-age Children Urinary Developmental Factors - enuresis - nocturnal enuresis Older Adults Urinary Developmental Factors - nocturnal frequency Enuresis Involuntary urination in children beyond age of voluntary bladder control - loss of bladder control - reasons? constipation, psychosocial, infection Nocturnal Frequency Night time voiding Nocturnal Enuresis Involuntary passing of urine during sleep - primary: never achieved night time urinary control - secondary: when child has achieved dryness for a period of 6 consecutive months & then begins urinating during their sleep Voiding Factors - psychosocial: privacy, position, time - fluid and food intake: alcohol and caffeine can increase urine production - diuretics - muscle tone - pathologic conditions: kidney diseases, low bp, stones, hypertrophy of prostate - surgical and diagnostic procedures Alcohol and Caffeine Increase urine production 5-6

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4) N262 EXAM 2 PT. 1 EXAM QUESTIONS AND ANSWERS

WITH COMPLETE SOLUTIONS GRADED A++


Kidneys

Regulate fluid & acid/base balance

- filter blood and remove metabolic wastes

Increases then Decreases

As body ages, urine output ____________________

Infants

Urinary Developmental Factors

- may urinate as often as 20 times/day

- do not have urinary control

Preschoolers

Urinary Developmental Factors

- able to toilet independently

- do not punish for accidents

School-age Children

Urinary Developmental Factors

- enuresis

- nocturnal enuresis

Older Adults

,Urinary Developmental Factors

- nocturnal frequency

Enuresis

Involuntary urination in children beyond age of voluntary bladder control

- loss of bladder control

- reasons? constipation, psychosocial, infection

Nocturnal Frequency

Night time voiding

Nocturnal Enuresis

Involuntary passing of urine during sleep

- primary: never achieved night time urinary control

- secondary: when child has achieved dryness for a period of 6 consecutive months &

then begins urinating during their sleep

Voiding Factors

- psychosocial: privacy, position, time

- fluid and food intake: alcohol and caffeine can increase urine production

- diuretics

- muscle tone

- pathologic conditions: kidney diseases, low bp, stones, hypertrophy of prostate

- surgical and diagnostic procedures

Alcohol and Caffeine

Increase urine production

5-6

, People usually void __________ times a day

Polyuria

Increased urinary output

- diuresis

- may follow polydipsia-> increased thirst

- can cause excessive fluid loss

Oliguria and Anuria

No urine production

- dialysis, kidney failure

Oliguria

Low urinary output

- less than 500 milliLiter/day or 30 mL/hour

Dialysis

Cycle to excrete toxins out of body

- anuria!

- hemo vs peritoneal

Hemodialysis

The process by which waste products are filtered directly from the patient's blood

- cleans it, 3-4 times a week, few hours a day

Peritoneal Dialysis

Lining of the peritoneal cavity acts as the filter to remove waste from the blood

- tube in abdomen drains fluid, reinserts new, high infection rate

Frequency

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